Doctor profile · Federal record

Dr. Tyler Northrup

Student in an Organized Health Care Education/Training Program · Clinton Twp, MI

  • NPI 1801530191
  • 4 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
15855 19 Mile RD
Clinton Twp, MI 480383504
(586) 263-2300
Additional location
1600 S Andrews Ave
Fort Lauderdale, FL 333162510
(954) 876-2586

Credentials & registration

NPPES · NUCC
NPI registered
April 2022 — 4 yrs on file
Profile last updated
April 30, 2023
Specialty taxonomy
390200000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1801530191. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$122
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
AstraZeneca Pharmaceuticals Lp 1 $121.84

By nature of payment

Food and Beverage
$122

Frequently asked questions

Auto-generated from federal data
What is Dr. Tyler Northrup's medical specialty?
Dr. Tyler Northrup practices Student in an Organized Health Care Education/Training Program in Clinton Twp, MI.
Where does Dr. Tyler Northrup practice?
Dr. Tyler Northrup practices at 15855 19 Mile RD, Clinton Twp, MI 480383504. Office phone: 5862632300.
What is Dr. Tyler Northrup's NPI?
Dr. Tyler Northrup's National Provider Identifier (NPI) is 1801530191, issued by NPPES.